| NPI | 1215280375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AK 38778) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AK 6901) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2015-05-01 |